| NPI | 1891104352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE FENCHAK Director 406-560-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2016-04-13 |